Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.73 / $331.82 / $629.79	Facility		$82.73	$331.82	$629.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.21 / $9.02 / $13.37	Facility	26	$8.21	$9.02	$13.37
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $97.60 / $337.46 / $663.64	Facility	TC	$97.60	$337.46	$663.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $39.76 / $87.03	Professional		$17.00	$39.76	$87.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $17.73 / $35.72	Professional	26	$7.88	$17.73	$35.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.00 / $70.00 / $70.00	Professional	50	$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.34 / $62.28 / $73.17	Professional	TC	$28.34	$62.28	$73.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $35.64 / $55.67	Facility		$9.06	$35.64	$55.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $46.37 / $82.64	Professional		$11.82	$46.37	$82.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $46.23 / $181.60	Facility		$46.23	$46.23	$181.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $36.90 / $36.90 / $36.90	Facility	TC	$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $49.89 / $118.16	Professional		$29.83	$49.89	$118.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.91 / $12.22 / $40.40	Professional	26	$6.91	$12.22	$40.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.59 / $40.65 / $154.34	Professional	TC	$23.59	$40.65	$154.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $299.29 / $448.33	Facility		$102.18	$299.29	$448.33
Highmark BCBS Facility/Professional Facility Modifier TC Low / Median / High Price $93.62 / $253.29 / $370.11	Facility	TC	$93.62	$253.29	$370.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $107.16 / $109.06	Professional		$64.63	$107.16	$109.06
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.74 / $16.57 / $21.99	Professional	26	$12.74	$16.57	$21.99
Highmark BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $118.44 / $118.44 / $118.44	Professional	TC	$118.44	$118.44	$118.44
United Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $39.11 / $77.89	Professional		$23.50	$39.11	$77.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $10.56 / $20.56	Professional	26	$6.13	$10.56	$20.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $26.12 / $60.64	Professional	TC	$17.91	$26.12	$60.64